SERVICES REQUEST FORM
Name:
Company:
Telephone:
E-Mail Address:
Date(s) Entertainment is Needed:
Location of Event:
Type of Event:
Corporate Fuction
Private Party
Fair or Festival
Radio Station Promotion
Fundraiser
College Organization
Other
Type of Entertainment Desired / Exact Entertainer Desired:
Approximate Entertainment Budget (Including All Misc. Expenses):
Comments: